Karen Pereia Dietz, M.D.
Individual provider Active NPI Internal Medicine Physician · Fredericksbrg, VA
NPI 1477908382 · NPPES record last updated Mar 26, 2024
Key facts
- NPI
- 1477908382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0101269713 (VA)
- Practice address
- 1001 Sam Perry Blvd
Fredericksbrg, VA 22401-4453 - Phone
- (301) 273-5394
- NPI assigned
- Apr 28, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Georgetown University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeastern Physician Services PC
Practice addresses (Care Compare)
515 Ray C Hunt Dr
Charlottesville, VA 22903-2981
Phone (434) 244-2000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201012000069 | VA | Practitioner - Internal Medicine | 6608161385 | Reassigns benefits to 5 organizations |
| I20220609000048 | DC | Practitioner - Hospitalist |
6608161385 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101269713 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Internal Medicine | Current |
Accepting new patients |
| Mary Washington Healthcare Providers LLC | Current |
Accepting new patients | |
| Children'S Hospital | Current |
Accepting new patients | |
| Pathology Associates of Fredericksburg PTR | Current | Accepting new patients | |
| Virginia Pac Services PC | Current |
Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients | |
| NV Pacs 2 LLC | Current |
Accepting new patients | |
| Mary Washington Healthcare Physicians | Pediatrics | Current |
Accepting new patients |
| Mary Washington Healthcare Physicians | Current |
Accepting new patients | |
| Children'S Hospital | Pediatrics | Current |
Accepting new patients |
Locations
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
15051 Harmony Hills Ln
Abingdon, VA 24211
Phone (276) 451-2590
515 Ray C Hunt Dr
Charlottesvle, VA 22903
Phone (434) 244-2000
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
1 Vantage Dr
Poquoson, VA 23662
Phone (757) 868-9660
2000 Wilkes Ridge Dr
Richmond, VA 23233
Phone (804) 342-4349
101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340
600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101269713 | VA | |
| Internal Medicine Physician | 207R00000X | 0101269713 | VA | Yes |
Addresses
Primary practice location
1001 Sam Perry Blvd
Fredericksbrg, VA 22401-4453
Mailing address
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (301) 273-5394
Other practice location 1
1250 E Marshall St
Richmond, VA 23298-5051
Phone (804) 828-9357
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477908382 | Medicaid | VA |
Other names
- Karen Pereira
Other providers in Fredericksbrg, VA
- Mycare LLC
- Maryam Omiditabar
- Kimberly Marie Palmer
- Pedialac Nursing Services LLC
- Eve Hope Pendletom
- Zakia Tanisha Peyton
- Reliable Meds Supplier Inc.
- Jessica M Somma
- Brenda Tejeda
- The Trauma Informed-Care Center
All providers in Fredericksbrg, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.